LEXINGTON MEDICAL CENTER: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- LEXINGTON MEDICAL CENTER (EIN 56-0543238)
- Tax period
- 2013-07-01 to 2014-06-30
- Filed
- 2015-05-14
- IRS object ID
- 201531349349305273
- Schema version
- 2013v4.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2015-05-14T14:00:32-05:00 | ReturnTs |
| Tax Period End | 2014-06-30 | TaxPeriodEndDt |
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2013-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 560543238 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LEXINGTON MEDICAL CENTER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | LEXI | BusinessNameControlTxt |
| Phone | 3362485161 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 1817 250 HOSPITAL DRIVE | AddressLine1 |
| City | LEXINGTON | City |
| State | NC | State |
| ZIP Code | 272931817 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DANNY W SQUIRES | PersonNm |
| Person Title | CHIEF FINANCIAL OFFICER | PersonTitleTxt |
| Phone | 3362485161 | PhoneNum |
| Signature | 2015-05-12 | SignatureDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2013 | TaxYr |
| Build TS | 2016-02-25 16:41:14Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | WILLIAM B JAMES | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 1817 250 HOSPITAL DRIVE | AddressLine1 |
| City | LEXINGTON | City |
| State | NC | State |
| ZIP Code | 272931817 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $77,779,031 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.LEXINGTON.WAKEHEALTH.EDU | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1954 | FormationYr |
| Legal Domicile State | NC | LegalDomicileStateCd |
| Activity Or Mission | TO MAINTAIN AND OPERATE HOSPITALS, CLINICS, AND OTHER RELATED FACILITIES TO PROVIDE FOR THE CARE AND TREATMENT OF PERSONS SUFFERING FROM ILLNESSES, INJURIES OR DISABILITIES WHICH REQUIRE HOSPITAL CARE, TO SUPPLY EQUIPMENT AND FACILITIES TO AID IN THE TREATMENT AND DIAGNOSIS OF DISEASE, TO CARRY ON EDUCATIONAL ACTIVITIES RELATED TO THE CARE OF THE SICK AND DISABLED AND THE PROMOTION OF HEALTH AND PREVENTIVE MEDICINES, TO AID IN THE INSTRUCTION AND PROMOTION OF RESEARCH AND SCIENTIFIC INVESTIGATION IN ALL BRANCHES OF MEDICINE AND SURGERY AND TO PARTICIPATE IN ANY ACTIVITY DESIGNED AND CARRIED ON TO PROMOTE THE GENERAL HEALTH OF THE COMMUNITY. | ActivityOrMissionDesc |
| Voting Members Governing Body | 18 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 17 | VotingMembersIndependentCnt |
| Total Employee | 861 | TotalEmployeeCnt |
| Total Volunteers | 71 | TotalVolunteersCnt |
| Total Gross UBI | $4,067,451 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | -$28,881 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,789,154 | PYContributionsGrantsAmt |
| CY Contributions Grants | $0 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $85,299,089 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $77,592,101 | CYProgramServiceRevenueAmt |
| PY Investment Income | $264,146 | PYInvestmentIncomeAmt |
| CY Investment Income | $167,985 | CYInvestmentIncomeAmt |
| PY Other Revenue | $1,082,564 | PYOtherRevenueAmt |
| CY Other Revenue | $17,216 | CYOtherRevenueAmt |
| PY Total Revenue | $88,434,953 | PYTotalRevenueAmt |
| CY Total Revenue | $77,777,302 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $95,034 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $34,737,060 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $29,901,171 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $45,258,741 | PYOtherExpensesAmt |
| CY Other Expenses | $41,217,088 | CYOtherExpensesAmt |
| PY Total Expenses | $79,995,801 | PYTotalExpensesAmt |
| CY Total Expenses | $71,213,293 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $8,439,152 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $6,564,009 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $59,975,488 | TotalAssetsBOYAmt |
| Total Assets EOY | $65,699,999 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $28,096,485 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $27,158,465 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $31,879,003 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $38,541,534 | NetAssetsOrFundBalancesEOYAmt |
| Mission | THE MISSION OF LEXINGTON MEDICAL CENTER IS TO PROVIDE AN APPROPRIATE LEVEL OF INPATIENT AND OUTPATIENT HEALTHCARE SERVICES IN A HIGH QUALITY, COMPASSIONATE AND COST-EFFECTIVE MANNER TO ANYONE WHO PRESENTS IN NEED. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $67,190,510 | ExpenseAmt |
| Grant | $95,034 | GrantAmt |
| Revenue | $73,524,650 | RevenueAmt |
| Desc | OPERATION OF HOSPITAL, CLINICS AND OTHER RELATED FACILITIES TO EDUCATE, DIAGNOSE AND PROVIDE CARE AND TREATMENT FOR PERSONS WHO REQUIRE HOSPITAL CARE. LEXINGTON MEDICAL CENTER IS AN 94 BED HOSPITAL. DURING THE FISCAL YEAR ENDED JUNE 30, 2014, THE HOSPITAL HAD 1,914 INPATIENT ADMISSIONS, 40,774 OUTPATIENT ENCOUNTERS AND 21,398 ED VISITS. | Desc |
| Total Program Service Expenses | $67,190,510 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | 0 | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 11 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 861 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 18 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 17 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DANNY W SQUIRES | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 3362485161 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 1817250 HOSPITAL DRIVE | AddressLine1 |
| City | LEXINGTON | City |
| State | NC | State |
| ZIP Code | 272931817 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionAGrp (31 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|
| JOHN FRANK | |||||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| JEFF MAST | |||||||||
| CHAIRMAN | 6.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |||
| GORDON KAMMIRE MD | |||||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| KAYE LEONARD | |||||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| ROBERT CRAVEN | |||||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| KAREN CRAVER | |||||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| TERRA GREENE | |||||||||
| VICE CHAIRMAN | 2.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |||
| TERRY L HALES JR | |||||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| JAMES HOEKSTRA MD | |||||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| LARRY POTTS | |||||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| THOMPSON MILLER | |||||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| TOM SIBERTMD | |||||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| GREGG STABLER | |||||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| DAVID WAGNER MD | |||||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| K BARBARA CARBONE MD | |||||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| ROSE MCDANIEL | |||||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| STEVE SNELGROVE | |||||||||
| DIRECTOR & PRESIDENT | 40.00 | Yes (X) | $309,837 | $0 | $65,579 | Yes (X) | |||
| DANNY W SQUIRES | |||||||||
| DIR./INTERIM PRES/VP/TREAS | 40.00 | Yes (X) | $169,812 | $0 | $75,334 | Yes (X) | |||
| SUNDARA RAJAN MD | |||||||||
| DIRECTOR & CH OF STAFF | 40.00 | Yes (X) | $3,107 | $0 | $0 | ||||
| WILLIAM B JAMES | |||||||||
| DIRECTOR & PRESIDENT | 40.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |||
| BOB LOWE | |||||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | 2.00 | |||
| DENISE SNIDER | |||||||||
| SECRETARY | 40.00 | $59,056 | $0 | $0 | Yes (X) | ||||
| CHRISTOPHER T WHITE | |||||||||
| ASSISTANT TREASURER | 2.00 | $0 | $0 | $0 | Yes (X) | ||||
| JANICE K STEPHENS | |||||||||
| NURSE ANESTHETIST | 40.00 | $145,978 | $0 | $23,171 | Yes (X) | ||||
| SHEILA C CRUMB | |||||||||
| NURSE ANESTHETIST | 40.00 | $188,230 | $0 | $28,300 | Yes (X) | ||||
| CHRISTOPHER S WATTERS | |||||||||
| NURSE ANESTHETIST | 40.00 | $182,021 | $0 | $27,897 | Yes (X) | ||||
| AMY F INMAN | |||||||||
| NURSE ANESTHETIST | 40.00 | $163,093 | $0 | $10,718 | Yes (X) | ||||
| SHERRLYN H OWENS | |||||||||
| NURSE ANESTHETIST | 40.00 | $151,019 | $0 | $12,370 | Yes (X) | ||||
| DONNY C LAMBETH | |||||||||
| FORMER OFFICER | 0.00 | $565,644 | $0 | $15,105 | Yes (X) | ||||
| JOHNNY VEAL | |||||||||
| FORMER OFFICER | 0.00 | $159,338 | $0 | $12,704 | Yes (X) | ||||
| BARBARA B SMITH | |||||||||
| FORMER OFFICER | 40.00 | $875,226 | $0 | $18,471 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,972,361 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $289,649 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 18 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | Yes (1) | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1 | CityContractorAddress/USAddress/City | StateContractorAddress/USAddress/State | ZIP CodeContractorAddress/USAddress/ZIPCode | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| LANDMARK BUILDERS | |||||
| 3520 TRIAD COURT | WINSTON SALEM | NC | 27107 | CONSTRUCTION | $1,028,481 |
| SODEXO INC & AFFILIATES | |||||
| PO BOX 536922 | ATLANTA | GA | 30353 | CONTRACT SERVICES | $581,544 |
| DIVERSIFIED CLINICAL SERVICES | |||||
| 4500 SALISBURY RD | JACKSONVILLE | FL | 32216 | CONTRACT SERVICES | $425,757 |
| APOLLO HEALTH STREET | |||||
| 2 BRIGHTON RD | CLIFTON | NJ | 07012 | PROFESSIONAL SERVICES | $402,068 |
| DAVIDSON SURGICAL ASSOCIATES | |||||
| 106 W MEDICAL PARK DRIVE | LEXINGTON | NC | 27292 | MEDICAL SERVICES | $340,200 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 11 | CntrctRcvdGreaterThan100KCnt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | NET PATIENT SERVICE REVENUE | Desc |
| Business | 621990 | BusinessCd |
| Total Revenue Column | $77,592,101 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $73,524,650 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $4,067,451 | UnrelatedBusinessRevenueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $77,592,101 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $169,714 | TotalRevenueColumnAmt |
| Exclusion | $169,714 | ExclusionAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $1,729 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -$1,729 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$1,729 | TotalRevenueColumnAmt |
| Exclusion | -$1,729 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | GIFT SHOP | Desc |
| Business | 621990 | BusinessCd |
| Total Revenue Column | $17,216 | TotalRevenueColumnAmt |
| Exclusion | $17,216 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $17,216 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $77,777,302 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $73,524,650 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $4,067,451 | UnrelatedBusinessRevenueAmt |
| Exclusion | $185,201 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $95,034 | TotalAmt |
| Program Services | $95,034 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $245,146 | TotalAmt |
| Management And General | $245,146 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $24,364,490 | TotalAmt |
| Program Services | $22,239,690 | ProgramServicesAmt |
| Management And General | $2,124,800 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,478,242 | TotalAmt |
| Program Services | $3,143,282 | ProgramServicesAmt |
| Management And General | $334,960 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,813,293 | TotalAmt |
| Program Services | $1,638,670 | ProgramServicesAmt |
| Management And General | $174,623 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $79,162 | TotalAmt |
| Management And General | $79,162 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $53,042 | TotalAmt |
| Management And General | $53,042 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,538 | TotalAmt |
| Management And General | $9,538 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,529,067 | TotalAmt |
| Program Services | $7,104,161 | ProgramServicesAmt |
| Management And General | $424,906 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $394,947 | TotalAmt |
| Program Services | $356,913 | ProgramServicesAmt |
| Management And General | $38,034 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,320,925 | TotalAmt |
| Program Services | $3,001,115 | ProgramServicesAmt |
| Management And General | $319,810 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $81,648 | TotalAmt |
| Program Services | $73,785 | ProgramServicesAmt |
| Management And General | $7,863 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $83,474 | TotalAmt |
| Program Services | $83,474 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,142,124 | TotalAmt |
| Program Services | $4,142,124 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $209,526 | TotalAmt |
| Program Services | $189,348 | ProgramServicesAmt |
| Management And General | $20,178 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $12,120,417 | $12,120,417 | |
| BAD DEBTS | $9,922,729 | $9,922,729 | |
| PROVIDER ASSESSMENT TAX | $1,891,598 | $1,891,598 | |
| UBIT TAX | $64,105 | $64,105 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,314,786 | TotalAmt |
| Program Services | $1,188,170 | ProgramServicesAmt |
| Management And General | $126,616 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $71,213,293 | TotalAmt |
| Program Services | $67,190,510 | ProgramServicesAmt |
| Management And General | $4,022,783 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,604 | BOYAmt |
| EOY | $5,471 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,907,251 | BOYAmt |
| EOY | $21,106,998 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,600,493 | BOYAmt |
| EOY | $18,099,524 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,725,710 | BOYAmt |
| EOY | $1,849,984 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $361,496 | BOYAmt |
| EOY | $78,371 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $95,827,822 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $72,788,551 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $22,941,648 | BOYAmt |
| EOY | $23,039,271 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,680,806 | BOYAmt |
| EOY | $985,872 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $419,561 | BOYAmt |
| EOY | $419,561 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,332,919 | BOYAmt |
| EOY | $114,947 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $59,975,488 | BOYAmt |
| EOY | $65,699,999 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,305,428 | BOYAmt |
| EOY | $16,367,408 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,690,643 | BOYAmt |
| EOY | $3,690,643 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,100,414 | BOYAmt |
| EOY | $7,100,414 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $28,096,485 | BOYAmt |
| EOY | $27,158,465 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $31,879,003 | BOYAmt |
| EOY | $38,541,534 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $31,879,003 | BOYAmt |
| EOY | $38,541,534 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $59,975,488 | BOYAmt |
| EOY | $65,699,999 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $6,564,009 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $98,522 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $9,538 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $9,538 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | THE ORGANIZATION IS A MEMBER OF THE AMERICAN HOSPITAL ASSOCIATION (AHA) AND THE NORTH CAROLINA HOSPITAL ASSOCIAITON (NCHA). A PORTION OF THE MEMBERSHIP DUES PAID ARE ALLOCATED TO LOBBYING EFFORTS BY THOSE ORGANIZATIONS ON BEHALF OF THEIR MEMBERSHIP BODIES. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,974,183 | OtherCostOrOtherBasisAmt |
| Book Value | $2,974,183 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $37,714,045 | OtherCostOrOtherBasisAmt |
| Depreciation | $27,788,980 | DepreciationAmt |
| Book Value | $9,925,065 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $55,139,594 | OtherCostOrOtherBasisAmt |
| Depreciation | $44,999,571 | DepreciationAmt |
| Book Value | $10,140,023 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $23,039,271 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | ADVANCES FROM PARENT | Desc |
| Amt | $7,100,414 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $7,100,414 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART X, LINE 2: | FormAndLineReferenceDesc |
| Explanation | THE ORGANIZATION WAS REQUIRED TO EVALUATE UNCERTAIN TAX POSITIONS. THIS EVALUATION INCLUDES A QUANTIFICATION OF TAX RISK IN AREAS SUCH AS UNRELATED BUSINESS TAXABLE INCOME AND THE TAXATION OF FOR-PROFIT SUBSIDIARIES. THIS EVALUATION DID NOT HAVE A MATERIAL EFFECT ON THE ORGANIZATION'S STATEMENT OF OPERATIONS FOR THE YEARS ENDED JUNE 30, 2013 AND 2014. | ExplanationTxt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent400 | Yes (X) | Percent400Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (1) | ExpensesExceedBudgetInd |
| Unable To Provide Care | 0 | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,866,149 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $3,866,149 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06310 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $12,481,003 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $14,683,199 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | -$2,202,196 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $152,794 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $153,309 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | -$515 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $16,499,946 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $14,836,508 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,663,438 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06310 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $225,805 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $225,805 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00370 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $35,426 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $35,426 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00060 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $261,231 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $261,231 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00430 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $16,761,177 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $14,836,508 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,924,669 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06740 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $2,964,811 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $29,606,327 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $28,942,510 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $663,817 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LEXINGTON MEDICAL CENTER | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 250 HOSPITAL DRIVE | AddressLine1 |
| City | LEXINGTON | City |
| State | NC | State |
| ZIP Code | 27292 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| State License | H0027 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LEXINGTON MEDICAL CENTER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Information Gaps | Yes (X) | InformationGapsInd |
| CHNA Conducted | 12 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (1) | CHNAConductedWithOtherFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Rpt Available Upon Request | Yes (X) | RptAvailableUponRequestInd |
| Adopt Implementation Strategy | Yes (X) | AdoptImplementationStrategyInd |
| Exec Implementation Strategy | Yes (X) | ExecImplementationStrategyInd |
| Develop Community Wide Plan | Yes (X) | DevelopCommunityWidePlanInd |
| Exec Community Wide Plan | Yes (X) | ExecCommunityWidePlanInd |
| Include Operational Plan | Yes (X) | IncludeOperationalPlanInd |
| Adopt Budget | Yes (X) | AdoptBudgetInd |
| Prioritize Health Needs | Yes (X) | PrioritizeHealthNeedsInd |
| Prioritize Services | Yes (X) | PrioritizeServicesInd |
| All Needs Addressed | Yes (1) | AllNeedsAddressedInd |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Used Deter Elig Free Care | Yes (1) | FPGUsedDeterEligFreeCareInd |
| FPG Family Incm Lmt Free Care | 200.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Used Determ Elig Dscnt Care | Yes (1) | FPGUsedDetermEligDscntCareInd |
| FPG Family Incm Lmt Dscnt Care | 400.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| Income Level | Yes (X) | IncomeLevelInd |
| Medical Indigency | Yes (X) | MedicalIndigencyInd |
| Insurance Status | Yes (X) | InsuranceStatusInd |
| Uninsured Discount | Yes (X) | UninsuredDiscountInd |
| Medicaid Medicare | Yes (X) | MedicaidMedicareInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| Posted On Website | Yes (X) | PostedOnWebsiteInd |
| Posted In Emergency Room | Yes (X) | PostedInEmergencyRoomInd |
| Posted In Admission Office | Yes (X) | PostedInAdmissionOfficeInd |
| Available On Request | Yes (X) | AvailableOnRequestInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| FAP Notified Upon Admission | Yes (X) | FAPNotifiedUponAdmissionInd |
| FAP Notified Before Discharge | Yes (X) | FAPNotifiedBeforeDischargeInd |
| FAP Notified All Patients | Yes (X) | FAPNotifiedAllPatientsInd |
| Documented Elig Determination | Yes (X) | DocumentedEligDeterminationInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Average Negotiated Rates | Yes (X) | AverageNegotiatedRatesInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| LEXINGTON MEDICAL CENTER | PART V, SECTION B, LINE 3: THE COMMUNITY'S PERSPECTIVE WAS OBTAINED THROUGH TWO SOURCES OF PRIMARY DATA COLLECTION: 1) A DOOR-TO-DOOR SURVEY OF DAVIDSON COUNTY RESIDENTS TO IDENTIFY THEIR TOP HEALTH CONCERNS AND THEIR TOP BARRIERS IN ACCESSING HEALTH CARE; AND 2) SIX FOCUS GROUPS CONDUCTED WITH RESIDENTS THROUGHOUT THE COUNTY INCLUDING KEY UNDERSERVED, LOW INCOME AND MINORITY COMMUNITIES. LMC WORKED WITH JEN HAMES, HEALTH EDUCATION SUPERVISOR, OF THE DAVIDSON COUNTY HEALTH DEPARTMENT WITH EXPERTISE IN COMMUNITY HEALTH, HEALTH PROMOTION AND COMMUNITY COALITIONS. LMC ALSO CONTRACTED WITH THE NORTH CAROLINA INSTITUTE FOR PUBLIC HEALTH (NCIPH) TO COORDINATE AND ADMINISTER THE CHNA PROCESS. FINALLY, FORTY FIVE COMMUNITY LEADERS REPRESENTING THE FAITH COMMUNITY, PRIVATE BUSINESS, HEALTHCARE, HIGHER EDUCATION, PRE K-12 EDUCATION, PUBLIC SAFETY, SOCIAL SERVICES, MENTAL HEALTH, GOVERNMENT, AND PRIVATE AND PUBLIC FOUNDATIONS COMPLETED AN ONLINE SURVEY FOCUSING ON THE STRENGTHS AND CHALLENGES OF THE COMMUNITY'S HEALTHCARE NEEDS. |
| LEXINGTON MEDICAL CENTER | PART V, SECTION B, LINE 4: THOMASVILLE MEDICAL CENTER |
| LEXINGTON MEDICAL CENTER | PART V, SECTION B, LINE 5D: THE HOSPITAL'S CHNA AND CHNA IMPLEMENTATION STRATEGY CAN BE FOUND AT HTTP://LEXINGTON.WAKEHEALTH.EDU/COMMUNITY-HEALTH.HTM. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 17 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (17 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | FacilityFacilityTxt |
|---|---|---|---|---|
| FAMILY MEDICINE NORTH DAVIDSON | ||||
| 799 HICKORY TREE ROAD | WINSTON SALEM | NC | 27127 | FAMILY PRACTICE |
| WOMEN'S SERVICES NORTH DAVIDSON | ||||
| 799 HICKORY TREE ROAD | WINSTON SALEM | NC | 27127 | WOMEN'S HEALTH |
| WFBH-LEXINGTON ADOLESCENT | ||||
| 14 MEDICAL PARK DR | LEXINGTON | NC | 27292 | ADOLESCENT MEDICINE |
| WFBH-LEXINGTON CARDIOLOGY | ||||
| 10 MEDICAL PARK DR | LEXINGTON | NC | 27292 | CARDIOLOGY |
| WFBH-LEXINGTON DIGESTIVE SERVICES | ||||
| 11 MEDICAL PARK DR | LEXINGTON | NC | 27292 | GASTROINTESTINAL HEALTH |
| WFBH-LEXINGTON ENTHEAD & NECK SURGERY | ||||
| 106 W MEDICAL PARK DR | LEXINGTON | NC | 27292 | ENT |
| WFBH-LEXINGTON FAMILY MEDICINE | ||||
| 101 WEST MEDICAL PARK DR | LEXINGTON | NC | 27292 | FAMILY PRACTICE |
| WFBH-LEXINGTON GYNECOLOGY | ||||
| 106 W MEDICAL PARK DR | LEXINGTON | NC | 27292 | WOMEN'S HEALTH |
| WFBH-LEXINGTON INTERNAL MEDICINE | ||||
| 105 HOSPITAL DRIVE | LEXINGTON | NC | 27292 | INTERNAL MEDICINE |
| WFBH-LEXINGTON PEDIATRICS | ||||
| 8 MEDICAL PARK DR | LEXINGTON | NC | 27292 | PEDIATRIC MEDICINE |
| WFBH-LEXINGTON WOMEN'S SERVICES | ||||
| 7 MEDICAL PARK DR | LEXINGTON | NC | 27292 | WOMEN'S HEALTH |
| WFBH-LEX WOUND CARE & HYPERBARIC CTR | ||||
| 10 MEDICAL PARK DR | LEXINGTON | NC | 27292 | WOUND CARE CTR. |
| WOMEN'S SERVICES SALISBURY | ||||
| 1107 STATESVILLE BLVD | SALISBURY | NC | 28144 | WOMEN'S HEALTH |
| NORTH DAVIDSON REHAB SERVICES | ||||
| 799 HICKORY TREE ROAD | WINSTON SALEM | NC | 27127 | REHABILITATION |
| WFBH-LEXINGTON NEUROLOGY & NEUROSURGERY | ||||
| 10 MEDICAL PARK DR | LEXINGTON | NC | 27292 | NEUROLOGY & NEUROSURGERY |
| WFBH - UROGYNECOLOGY & PELVIC RECON SUR | ||||
| 101 WEST MEDICAL PARK DR | LEXINGTON | NC | 27292 | WOMEN'S HEALTH |
| WFBH CANCER CENTER - LEXINGTON | ||||
| 107 WEST MEDICAL PARK DR | LEXINGTON | NC | 27292 | CANCER CENTER |
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 7: | COSTING METHODOLOGY - ANDI METHODOLOGY: FACILITY-WIDE RATIO OF COST TO CHARGES AS PER NCHA COMMUNITY BENEFITS GUIDELINES |
| PART I, LINE 7, COLUMN (F): | THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 9,922,729. |
| PART II, COMMUNITY BUILDING ACTIVITIES: | LEXINGTON MEDICAL CENTER IS COMMITTED TO IMPROVING THE HEALTH OF THE INDIGENT AND MEDICALLY UNDERSERVED IN DAVIDSON COUNTY. IT PARTNERS WITH DAVIDSON MEDICAL MINISTRIES, A FREE CLINIC FOR THE INDIGENT, AND THE DAVIDSON COUNTY HEALTH DEPARTMENT TO ADDRESS THE GROWING HEALTH NEEDS OF THE UNINSURED AND THE UNDERINSURED. THE HOSPITAL PROVIDES ALL DIAGNOSTIC TESTING AT NO COST FOR MEDICAL MINISTRIES CLIENTS AND CONDUCTS VARIOUS HEALTH SCREENINGS AT NO COST FOR THE CLINIC. THE HOSPITAL WORKS CLOSELY WITH THE LOCAL HEALTH DEPARTMENT IN DEVELOPING A COMMUNITY HEALTH NEEDS ASSESSMENT AND PROVIDING ASSISTANCE IN FULFILLING UNMET MEDICAL NEEDS. THE HOSPITAL HAS LAUNCHED AN AGGRESSIVE HEALTH EDUCATION AND WELLNESS PROGRAM FOR THE COMMUNITY AIMED AT CHRONIC DISEASE PREVENTION. FREE HEALTH SCREENINGS FOR THE MEDICALLY UNDERSERVED ARE HELD ALMOST MONTHLY TO ASSIST IN THE EARLY DETECTION AND TREATMENT OF DISEASE. IN ADDITION, LMC PROVIDES A FREE CHILDHOOD OBESITY PROGRAM FOR DISADVANTAGED YOUTHS, PLUS ONSITE HEALTH EDUCATION PROGRAMS IN AREA SCHOOLS. |
| PART III, LINE 4: | ACCOUNTS RECEIVABLE ARE STATED AT THE AMOUNT MANAGEMENT EXPECTS TO COLLECT FROM OUTSTANDING BALANCES. MANAGEMENT PROVIDES FOR PROBABLE UNCOLLECTED AMOUNTS THROUGH A PROVISION FOR BAD DEBT EXPENSE AND AN ADJUSTMENT TO THE VALUATION ALLOWANCE BASED ON ITS ASSESSMENT OF THE CURRENT STATUS OF INDIVIDUAL RECEIVABLES FROM CONTRACTS, MEDICARE/MEDICAID, AND OTHERS. BALANCES THAT ARE STILL OUTSTANDING AFTER MANAGEMENT HAS USED REASONABLE COLLECTION EFFORTS ARE WRITTEN OFF THROUGH A CHARGE TO THE VALUATION ALLOWANCE AND A CREDIT TO THE APPLICABLE ACCOUNTS RECEIVABLE. THE ALLOWANCE FOR UNCOLLECTIBLE PATIENT ACCOUNTS RECEIVABLE WAS DETERMINED BASED ON THE AGE OF THE ACCOUNTS AND ON THE HISTORICAL COLLECTION EXPERIENCE. COSTING METHODOLOGY - ANDI METHODOLOGY: FACILITY-WIDE RATIO OF COST TO CHARGES AS PER NCHA COMMUNITY BENEFITS GUIDELINES |
| PART III, LINE 9B: | LMC UNDERSTANDS THAT SOME PATIENTS IN OUR SERVICE AREA ARE UNABLE TO PAY FOR MEDICAL SERVICES. THE HOSPITAL WILL ALLOCATE AN AMOUNT OF ITS REVENUES EACH YEAR TO BE PROVIDED AS FREE OR REDUCED COST (CHARITY) CARE. TO INSURE EQUITY IN THE DISTRIBUTION OF THESE FUNDS, EACH APPLICANT WILL APPLY TO THIS PATIENT ASSISTANCE PROGRAM BY SUBMITTING INCOME AND ASSET LISTINGS AS WELL AS TAX RETURNS, ETC. INCOME LEVELS WILL BE COMPARED TO FEDERAL GUIDELINES TO DETERMINE THE AMOUNT OF ASSISTANCE PROVIDED. APPLICANTS FOR FINANCIAL ASSISTANCE ARE GIVEN 60 DAYS TO PROVIDE ALL REQUIRED INFORMATION NEEDED TO COMPLETE THE ELIGIBILITY DETERMINATION. COLLECTION EFFORTS ARE SUSPENDED DURING THE ELIGIBILITY DETERMINATION PROCESS. |
| PART VI, LINE 2: | LMC WORKS CLOSELY WITH THE DAVIDSON COUNTY HEALTH DEPARTMENT TO CONDUCT PERIODIC HEALTH NEEDS ASSESSMENTS. THE HOSPITAL NOT ONLY SUPPORTS THIS EFFORT FINANCIALLY, BUT ALSO SERVES ON A MULTIDISCIPLINARY COMMITTEE CONVENED TO DEVELOP STRATEGIES TO ADDRESS IDENTIFIED NEEDS. |
| PART VI, LINE 3: | LMC HAS CREATED A PATIENT BROCHURE "ABOUT YOUR HOSPITAL BILL"THAT IS AVAILABLE TO PATIENTS PRIOR TO SERVICE, AS A PART OF THE ADMISSIONS PACKET, AT ALL POINTS OF REGISTRATION AND IN THE BUSINESS OFFICE. UNINSURED AS WELL AS UNDERINSURED PATIENTS RECEIVE FINANCIAL COUNSELING ASSISTANCE DURING THE DISCHARGE PROCESS IN THE EMERGENCY DEPARTMENT, AS WELL AS UPON REFERRAL IN THE OUTPATIENT AND INPATIENT AREAS. PATIENTS ARE PROVIDED EDUCATION AND ELIGIBILITY SCREENING FOR ANY FEDERAL, STATE AND LOCAL ASSISTANCE PROGRAMS THEY MAY BE ELIGIBLE FOR, AS WELL AS THE LMC FINANCIAL ASSISTANCE PROGRAM (CHARITY CARE). INFORMATION ABOUT ASSISTANCE OPTIONS CONTINUE TO BE DISCUSSED WITH PATIENTS AND PUBLISHED ON PATIENT STATEMENTS DURING THE BILLING PERIOD FOR OUTSTANDING PATIENT BALANCES. |
| PART VI, LINE 4: | LMC'S PRIMARY MARKET AREA IS COMPRISED OF THOSE LIVING WITHIN AN EIGHT MILE RADIUS OF THE HOSPITAL WHICH INCLUDES THE CITY OF LEXINGTON AND ADJACENT AREAS. THE HOSPITAL'S SERVICE AREA OF DAVIDSON COUNTY REFLECTS A POPULATION OF 162,878 WITH APPROXIMATELY 14.40% OF THAT TOTAL AGED 65 AND OLDER. THE MEDIAN HOUSEHOLD INCOME FOR THIS AREA IS $43,420.LEXINGTON, N.C. IS LOCATED IN THE HEART OF NORTH CAROLINA'S PIEDMONT SECTION, FEATURING A SMALL TOWN ATMOSPHERE YET WITHIN CONVENIENT ACCESS TO METROPOLITAN AREAS INCLUDING WINSTON-SALEM, GREENSBORO, AND CHARLOTTE. LEXINGTON IS HISTORICALLY KNOWN AS A FURNITURE AND TEXTILE CENTER AND ALSO FOR ITS FAMOUS "LEXINGTON STYLE" BARBECUE. IT IS HOME EACH OCTOBER TO ONE OF THE STATE'S LARGEST AND MOST SUCCESSFUL STREET FESTIVALS WITH 100,000 PLUS PEOPLE ATTENDING ITS ANNUAL "BARBECUE FESTIVAL".IN DISCUSSING DEMOGRAPHICS, THE FOLLOWING FIGURES REFLECT THE POPULATION BREAKDOWN FOR DAVIDSON COUNTY. APPROXIMATELY 51% OF THE POPULATION IS FEMALE AND 49% MALE. - BELOW 18 YEARS: 23.9% - AGE 65 AND OLDER: 14.4% THE COUNTY POPULATION BREAKDOWN BY RACE IS: - WHITE NON-HISPANIC (84.3%) - BLACK (8.9%) - HISPANIC (6.4%) - TWO OR MORE RACES (1.5%) - OTHER ASIAN (1.2%) - AMERICAN INDIAN (.5%) (TOTAL CAN BE GREATER THAN 100% BECAUSE HISPANICS COULD BE COUNTED IN OTHER RACES.)THE MAJORITY OF THE WORKFORCE WORKS IN EDUCATION, HEALTH, RETAIL AND SOCIAL SERVICE JOBS.ONCE A FURNITURE MANUFACTURING CENTER, LEXINGTON HAS EXPERIENCED THE LOSS OF A MAJORITY OF ITS FURNITURE MANUFACTURING JOBS OVER THE COURSE OF THE PAST TWELVE YEARS. LEXINGTON HOME BRANDS, FORMERLY LEXINGTON FURNITURE INDUSTRIES, BOASTED AN EMPLOYEE POPULATION OF AROUND 6,000 IN THE MID-1990'S. CURRENTLY, APPROXIMATELY 200 FURNITURE JOBS REMAIN LOCALLY WHILE ALL OTHERS HAVE RELOCATED TO OVERSEAS OPERATIONS. THE DAVIDSON COUNTY UNEMPLOYMENT RATE AS REPORTED IN SEPTEMBER 2011 IS 10.9%.A COMPARISON OF LEXINGTON TO NORTH CAROLINA STATE AVERAGES REVEALS: - MEDIAN HOUSEHOLD INCOME BELOW STATE AVERAGE. - MEDIAN HOUSE VALUE BELOW STATE AVERAGE. |
| PART VI, LINE 5: | HOSPITALS NATIONWIDE HAVE EXPERIENCED SHARP LOSSES DUE TO THE ECONOMIC DOWNTURN. LMC IS NO EXCEPTION. AS A SMALL, COMMUNITY HOSPITAL IN AN AREA SHARPLY IMPACTED BY THE LOSS OF MANUFACTURING JOBS, LMC HAS STRUGGLED TO BREAK EVEN OVER THE PAST SEVERAL YEARS. CONTINUED NEGATIVE PROFIT MARGINS COUPLED WITH THE INCREASE IN CHARITY CARE AND BAD DEBT LED THE HOSPITAL TO SEEK A PARTNERSHIP WITH WFUBMC. PRESENTLY, THE UNEMPLOYMENT RATE IN DAVIDSON COUNTY IS 10.9% AND HAS BEEN ABOVE 10% SINCE 2009. LMC HAS MAINTAINED A STRONG COMMITMENT TO CONTINUE CAPITAL EQUIPMENT PURCHASES WITH AN AVERAGE OF $3 MILLION ALLOCATED EACH YEAR. ADDITIONALLY, FUNDS ARE ALLOCATED TO COMMUNITY OUTREACH EFFORTS. |
| PART VI, LINE 6: | LMC BECAME A PART OF THE WAKE FOREST BAPTIST MEDICAL CENTER (WFUBMC) EFFECTIVE OCTOBER 1, 2008. WFUBMC IS LMC'S SOLE MEMBER. LMC OPERATES AS A STAND ALONE COMMUNITY HOSPITAL AND IS GOVERNED BY AN INDEPENDENT BOARD COMPRISED OF PRIMARILY OF COMMUNITY RESIDENTS. WAKE FOREST BAPTIST MEDICAL CENTER IS AN ACADEMIC HEALTH SYSTEM COMPRISED OF NORTH CAROLINA BAPTIST HOSPITAL (NCBH) AND WAKE FOREST UNIVERSITY HEALTH SCIENCES (WFUHS), LEXINGTON MEDICAL CENTER AND DAVIE MEDICAL CENTER. WFUHS OPERATES THE UNIVERSITY'S SCHOOL OF MEDICINE AND WAKE FOREST INNOVATION QUARTER (RESEARCH PARK). THE MEDICAL CENTER COMPRISES 1,004 ACUTE CARE AND REHABILITATION BEDS AND OFFERS EXPERTISE IN MORE THAN 100 AREAS OF MEDICINE, ENCOMPASSING COMPREHENSIVE PREVENTIVE AND HIGHLY SPECIALIZED CARE FOR ALL AGES. WAKE FOREST BAPTIST MEDICAL CENTER AND HAS BEEN RANKED AS ONE OF "AMERICA'S BEST HOSPITALS" BY U.S. NEWS & WORLD REPORT SINCE 1993. |
| PART VI, LINE 7, REPORTS FILED WITH STATES | NC |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable
Recipient Business Name RecipientBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LEXINGTON MEDICAL CENTER FOUNDATION | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | HOSPITAL DRIVE | AddressLine1 |
| City | LEXINGTON | City |
| State | NC | State |
| ZIP Code | 27293 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient EIN | 581876553 | RecipientEIN |
| IRC Section | 501(C)(3) | IRCSectionDesc |
| Cash Grant | $95,034 | CashGrantAmt |
| Purpose Of Grant | CAPITAL CAMPAIGN | PurposeOfGrantTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 1 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | THE HOSPITAL FOLLOWS THE MEDICAL CENTER'S CORPORATE POLICY USED IN REVIEWING THE ELIGIBILITY AND SELECTION OF GRANTEES RECEIVING CERTAIN EXEMPT PURPOSE FUNDS. THE HOSPITAL MAINTAINS DOCUMENTATION OF THE ELIGIBILITY AND SELECTION CRITERIA AND RECORDS OF THE AMOUNTS DISBURSED. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | Yes (1) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (1) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (10 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| STEVE SNELGROVE | ||||||||||||||
| DIRECTOR & PRESIDENT | $289,444 | $0 | $0 | $0 | $20,393 | $0 | $47,689 | $0 | $17,890 | $0 | $375,416 | $0 | $0 | $0 |
| DANNY W SQUIRES | ||||||||||||||
| DIR./INTERIM PRES/VP/TREAS | $154,812 | $0 | $15,000 | $0 | $0 | $0 | $59,527 | $0 | $15,807 | $0 | $245,146 | $0 | $0 | $0 |
| JANICE K STEPHENS | ||||||||||||||
| NURSE ANESTHETIST | $145,978 | $0 | $0 | $0 | $0 | $0 | $9,995 | $0 | $13,176 | $0 | $169,149 | $0 | $0 | $0 |
| SHEILA C CRUMB | ||||||||||||||
| NURSE ANESTHETIST | $188,230 | $0 | $0 | $0 | $0 | $0 | $12,493 | $0 | $15,807 | $0 | $216,530 | $0 | $0 | $0 |
| CHRISTOPHER S WATTERS | ||||||||||||||
| NURSE ANESTHETIST | $182,021 | $0 | $0 | $0 | $0 | $0 | $12,090 | $0 | $15,807 | $0 | $209,918 | $0 | $0 | $0 |
| AMY F INMAN | ||||||||||||||
| NURSE ANESTHETIST | $163,093 | $0 | $0 | $0 | $0 | $0 | $7,810 | $0 | $2,908 | $0 | $173,811 | $0 | $0 | $0 |
| SHERRLYN H OWENS | ||||||||||||||
| NURSE ANESTHETIST | $151,019 | $0 | $0 | $0 | $0 | $0 | $9,462 | $0 | $2,908 | $0 | $163,389 | $0 | $0 | $0 |
| DONNY C LAMBETH | ||||||||||||||
| FORMER OFFICER | $0 | $0 | $0 | $0 | $565,644 | $0 | $0 | $0 | $15,105 | $0 | $580,749 | $0 | $0 | $0 |
| JOHNNY VEAL | ||||||||||||||
| FORMER OFFICER | $49,493 | $0 | $0 | $0 | $109,845 | $0 | $7,074 | $0 | $5,630 | $0 | $172,042 | $0 | $0 | $0 |
| BARBARA B SMITH | ||||||||||||||
| FORMER OFFICER | $192,831 | $0 | $0 | $0 | $682,395 | $0 | $6,740 | $0 | $11,731 | $0 | $893,697 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINES 4A-B | CERTAIN EXECUTIVES PARTICIPATE IN AND/OR RECEIVE PAYMENTS FROM SEVERANCE AND SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLANS PROVIDED BY THE ORGANIZATION OR AN UNRELATED ORGANIZATION (NCBH). THE DETERMINATION OF THE AMOUNT OF THE SEVERANCE AND/OR NON-QUALIFIED RETIREMENT PLAN PAYMENTS FOLLOW THE ORGANIZATION'S OR THE UNRELATED ORGANIZATION'S COMPENSATION PROCEDURES AS OUTLINED IN PART VI, SECTION B, LINE 15 OF THEIR FORM 990. THE FOLLOWING INDIVIDUALS RECEIVED SERP/SEVERANCE PAYMENTS: NAME SERP SEVERANCE BARBARA B. SMITH $682,395 DONNY C LAMBETH $572,161 JOHNNY VEAL $109,266 |
| PART I, LINE 7 | CERTAIN OFFICERS AND KEY EMPLOYEES HAVE INCENTIVE COMPENSATION COMPONENTS CONTAINED IN THEIR EMPLOYMENT AGREEMENTS. THESE ARE OFTEN GOAL-BASED AND ARE DETERMINED IN THE COURSE OF EVALUATION OF THE INDIVIDUAL'S PERFORMANCE BY HIS/HER SUPERVISOR OR THE COMPENSATION COMMITTEE OF THE BOARD, AS APPLICABLE. OTHER NON-FIXED PAYMENTS MAY INCLUDE SUMS FOR RELOCATION AND/OR TEMPORARY HOUSING THAT ARE TYPICALLY INCLUDED AS A PROVISION IN THE EMPLOYMENT AGREEMENT. ALL SUCH PAYMENTS ARE REFLECTED ON THE INDIVIDUAL'S W-2. |
| FORM 990, PART VII, LINE 5 | THE FOLLOWING INDIVIDUALS RECEIVED COMPENSATION FROM AN UNREALTED ORGANIZATION, NORTH CAROLINA BAPTIST HOSPITAL, FOR SERVICES RENDERED TO THIS ORGANIZATION IN THEIR ROLES AS KEY EMPLOYEE, OFFICER AND DIRECTOR: DONNY C. LAMBETH STEVEN SNELGROVE JOHNNY VEAL |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | THE SOLE MEMBER OF THE CORPORATION IS WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER (WFUBMC). |
| FORM 990, PART VI, SECTION A, LINE 7A | DECISIONS OF THE ORGANIZATION'S GOVERNING BODY WHICH REQUIRE APPROVAL BY THE SOLE MEMBER, WFUBMC, INCLUDE AMENDMENTS TO CERTAIN FUNDAMENTAL DOCUMENTS (ARTICLES OF INCORPORATION AND BYLAWS) AND ELECTION AND REMOVAL OF DIRECTORS. |
| FORM 990, PART VI, SECTION A, LINE 7B | DECISIONS OF THE ORGANIZATION'S GOVERNING BODY WHICH REQUIRE APPROVAL BY THE SOLE MEMBER, WFUBMC, INCLUDE AMENDMENTS TO CERTAIN FUNDAMENTAL DOCUMENTS (ARTICLES OF INCORPORATION AND BYLAWS) AND ELECTION AND REMOVAL OF DIRECTORS. |
| FORM 990, PART VI, SECTION B, LINE 11 | THE ORGANIZATION DISTRIBUTES A DRAFT COPY OF THE FORM 990 TO ALL MEMBERS OF THE BOARD IN ADEQUATE TIME FOR FEEDBACK PRIOR TO FILING A FINALIZED FORM 990 WITH THE IRS. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE SOLE MEMBER OF THE ORGANIZATION, WFUBMC HAS A CONFLICT OF INTEREST POLICY WHICH IS REVIEWED, ACCEPTED, AND SIGNED BY EACH OFFICER AND VOTING BOARD MEMBER ON AN ANNUAL BASIS. PURSUANT TO THIS POLICY EACH OFFICER AND BOARD MEMBER WILL RECUSE THEMSELVES FROM ANY DISCUSSION AND VOTE FOR WHICH A CONFLICT EXISTS FOR THEMSELVES OR THEIR FAMILY. DETERMINATIONS OF WHETHER A CONFLICT EXISTS ARE MADE AT A MANAGEMENT, BOARD MEMBER, OFFICER, AND INDIVIDUAL LEVEL. ACTUAL CONFLICTS ARE REVIEWED WITHOUT THE PRESENCE OF THE INTERESTED PARTY. |
| FORM 990, PART VI, SECTION B, LINE 15B | THE ORGANIZATION FOLLOWS THE PROCESS DESCRIBED IN TREASURY REGULATION 4958(6)(C) FOR ESTABLISHING THE REBUTTABLE PRESUMPTION OF REASONABLENESS IN THE REVIEW, APPROVAL, AND DOCUMENTATION OF OFFICER, KEY MANAGEMENT, AND DIRECTOR COMPENSATION. AS PART OF THE ANNUAL BUDGETING PROCESS THE GOVERNING BOARD REVIEWS AND APPROVES THE COMPENSATION AND BENEFITS IN THE ANNUAL BUDGET. THIS IS BASED ON COMPARABILITY FACTORS INCLUDING BUT NOT LIMITED TO THE SIZE OF THE ORGANIZATION, THE GEOGRAPHICAL LOCATION OF THE ORGANIZATION, AND THE EMPLOYEE'S LENGTH OF SERVICE. THIS PROCESS IS CONDUCTED ON AN ANNUAL BASIS FOR THE FOLLOWING POSITIONS: CEO, CFO, COO, CNO, PRESIDENT AND VICE PRESIDENTS. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION'S ARTICLES OF INCORPORATION ARE AVAILABLE TO THE PUBLIC ON REQUEST AND ARE AVAILABLE ON THE WEBSITE OF THE NORTH CAROLINA SECRETARY OF STATE. THE ORGANIZATION'S BYLAWS ARE NOT PUBLISHED, BUT PROVISIONS FROM THE BYLAWS ARE INCLUDED AS NECESSARY IN THE ORGANIZATION'S POLICIES, AND ARE ATTACHED TO THE FORM 1023 FILED FOR THE ORGANIZATION WITH THE IRS, WHICH IS PUBLICLY AVAILABLE. THE CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE NOT AVAILABLE TO THE PUBLIC. |
| FORM 990, PART IX, LINE 11G | MEDICAL SERVICE FEES: PROGRAM SERVICE EXPENSES 3,116,823. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,116,823. PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 3,987,338. MANAGEMENT AND GENERAL EXPENSES 424,906. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,412,244. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrganizationControlledOrganizationInd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| LEXINGTON MEDICAL CENTER FOUNDATION | |||||||||||
| 250 HOSPITAL DRIVE | LEXINGTON | NC | 27292 | 581876553 | FUNDRAISING | NC | 501(C)(3) | LINE 11B, II | LEXINGTON MEDICAL CENTER | Yes (1) | |
| WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER | |||||||||||
| MEDICAL CENTER BLVD | WINSTON SALEM | NC | 27157 | 510190238 | HEALTHCARE | NC | 501(C)(3) | LINE 11A, I | 0 | N/A | |
| NORTHWEST COMMUNITY CARE NETWORK | |||||||||||
| 2000 W 1ST STREET | WINSTON SALEM | NC | 27104 | 020774853 | HEALTHCARE | NC | 501(C)(3) | LINE 7 | WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER | 0 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp
Other Organization Name OtherOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LEXINGTON MEDICAL CENTER FOUNDATION | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | B | TransactionTypeTxt |
| Involved | $95,034 | InvolvedAmt |
| Method Of Amount Determination | COST | MethodOfAmountDeterminationTxt |
Comments